Georgetown Family Emergency Center, LLC

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

Legal business name

GEORGETOWN FAMILY EMERGENCY CENTER, LLC

Practice address

1210 W University Blvd
Georgetown, TX 78628

Phone

(512) 260-2732

NPI assigned

Nov 2, 2017

Last updated

Dec 15, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nicole Campbell

Title

Claims Analyst

Phone

(512) 948-1752

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669984498. Details of each certification follow.

• CCN 670153 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 670153

Legal name

GEORGETOWN FAMILY EMERGENCY CENTER, LLC

Certification status

Terminated Voluntary: merger or closure, Dec 31, 2021

Provider type (POS)

Hospital – Short-term

Participating since

Apr 24, 2020

Last certification

Apr 24, 2020

Beds

1

Ownership / control type

Private (not for profit)

Facility address

1210 W University Ave
Georgetown, TX 78628

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Henry L Higgins, MD

  • Emergency Medical Services (Emergency Medicine) Physician
  • Cedar Park, TX
  • NPI 1316935356
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671062400000",
    "number": "1669984498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1464 E WHITESTONE BLVD STE 1101",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786139070",
            "telephone_number": "512-309-8925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 W UNIVERSITY BLVD",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "78628",
            "telephone_number": "512-260-2732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGETOWN FAMILY EMERGENCY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-02",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CLAIMS ANALYST",
        "authorized_official_telephone_number": "512-948-1752"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgetown Elite Dental
• Georgetown Emergency Physicians PLLC
• Georgetown Family & Geriatric Medicine PLLC
• Georgetown Family and Cosmetic Dentistry
• Georgetown Family Dental PLLC (Aesthetic Dentistry of Georgetown)
• Georgetown Healthcare System Inc (Georgetown Home Health)
• Georgetown Integrated Medical PLLC
• Georgetown Integrative Psychiatry & Wellness PLLC
• Georgetown Isd
• Georgetown Medical Center P a (Georgetown Medical Clinic)

• Emergency Care Clinic/Center in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Emergency Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.